These positions are located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS),Center for Medicaid and CHIP Services (CMCS), Financial Mgmt Group (FMG). As a Supervisory Health Insurance Specialist, GS-0107-14, you will serve as the Deputy Director to the Division, developing national policy, ensuring consistent policy application for all fee-for service payment methodologies for Medicaid non-institutional and institutional services.
ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF THE CLOSING DATE OF THIS ANNOUNCEMENT. Your resume (limited to no more than 2 pages) must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from being considered further. In order to qualify for the GS-14 , you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-13 grade level in the Federal government, obtained in either the private or public sector, to include: Providing technical guidance on reimbursement and state financing policy for Medicaid or the Children's Health Insurance Program (CHIP); AND Monitoring the financial oversight activities for Medicaid, CHIP, or other similar national healthcare programs; AND Overseeing the work assignment of subordinate team members, performing technical review of staff work, and providing feedback for improvements. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills, and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Time-in-Grade: To be eligible, current Federal employees must have served at least 52 weeks (one year) at the next lower grade level from the position/grade level(s) to which they are applying. Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12852068
Serve as Deputy Director, assisting the Director in developing and disseminating national policy and ensuring consistent policy application for all Medicaid fee-for-service payment methodologies, cost allocation, and state financing sources.
Oversee Medicaid reimbursement policies for non-institutional (outpatient, physician, clinics) and institutional (inpatient, nursing facility, ICF/IID) services, including upper payment limits, cost allocation, and administrative claiming plans.
Develop methods to improve production and the quality of work directed and creates performance standards.
Manage preparation of briefing materials for CMCS senior officials to use in discussion with senior CMS and Departmental officials, congressional staff, state representatives, and interest groups that represent health organizations.
Plan work to be accomplished by subordinates, setting and adjusting short- and long- term priorities, and preparing schedules for work completion.
Determine short and long-term work objectives, plans the overall workload distribution, sets priorities, and prepares schedules for completion.